乳管内镜辅助液基细胞学测试对乳头溢液的诊断  

Intraductal aspiration LPT liquid-based thin-layer cytology by fiberoptic ductoscopy for patients with nipple discharge

作　　者：董明[1] 钟兰英[1] 杜伟钊[1] 王开昕[1] 陈妮娜[1] 钟笑萍[1] 

机构地区：[1]深圳市沙井人民医院乳腺科,广东深圳518104

出　　处：《临床和实验医学杂志》2011年第16期1249-1250,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨乳管内镜(FDS)检查中冲洗液液基细胞学(LPT)检查辅助诊断乳头溢液病因的价值。方法对2006年4月至2010年6月间200例乳头溢液患者进行FDS和冲洗液LPT检查,118例接受手术治疗,同时进行冲洗液普通涂片检查,比较各种检查方法与病理检查结果进行对照研究。结果 FDS检查符合率为74.6%(88/118),冲洗液涂片为39.8%(47/118),LPT为56.8%(67/118);FDS诊断恶性病变的符合率分别为6/11,LPT为8/11;LPT和FDS联合,恶性病变诊断符合率为10/11。结论 FDS检查联合冲洗液LPT检查对乳头溢液诊断准确性高,减少末梢导管病变的漏诊,尤其可以提高恶性病变的检出率。Objective To evaluate the value of intraductal aspiration LPT by fiberoptic ductoscopy（FDS） in the diagosis of nipple discharge.Methods FDS,intraductal aspiration LPT by FDS were used to diagnose and examine 200 patients with confused nipple discharge during April 2006 to December 2006,118 patients were treated operatively.The results of diagnosis and biopsy pathology were studied.Results The diagnose accordance rates of FDS,intraductal aspiration LPT,intraductal aspiration conventional film preparation were 74.6%,56.8%,and 39.8%,respectively.The malignant diagnose accordance rates of FDS,intraductal aspiration LPT,FDS＋LPT were 6/11,8/11 and 10/11,respectively.Conclusion FDS with intraductal aspiration LPT is a good method to diagnose nipple discharge.It is especially helpful in diferentiating malgnant from benign discharge.

关 键 词：乳头溢液 乳管内镜 液基细胞学 诊断 

分 类 号：R655.8[医药卫生—外科学]